首页|测量截骨联合间隙平衡截骨技术在全膝关节置换术患者治疗中的应用

测量截骨联合间隙平衡截骨技术在全膝关节置换术患者治疗中的应用

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目的:探讨测量截骨联合间隙平衡截骨技术在全膝关节置换术患者中的应用效果。方法:选取行全膝关节置换术的94例患者,根据术中截骨技术不同分组,采用单一测量截骨治疗纳入单一组(46例),采用测量截骨联合间隙平衡截骨技术的患者作为联合组(4 8例),比较两组患者术后膝关节内翻角及关节功能。结果:联合组手术时间及术后至下床时间短于单一组,股骨内后髁截骨厚度高于单一组(P<0。05);术后膝关节内翻角及截骨板相对后踝线旋转角小于单一组,股骨假体旋转角大于单一组(P<0。05);术后1个月,联合组美国膝关节协会评分(KSS)、膝关节活动度(ROM)均高于单一组(P<0。05)。结论:测量截骨联合间隙平衡截骨技术能够获得更好的膝关节内翻角,促进全膝关节置换术患者术后早期膝关节功能恢复。
Measuring Osteotomy Combined with Space Balance Osteotomy in Patients with Total Knee Arthroplasty
Objective:To investigate the efficacy of measuring osteotomy combined with space balance osteotomy in patients with total knee arthroplasty.Methods:94 patients who underwent total knee arthroplasty were selected and grouped ac-cording to different intraoperative osteotomy techniques.Patients treated with a single measuring osteotomy were included in a single group(46 cases),while patients treated with a measuring osteotomy combined with space balance osteotomy were included in the combination group(48 cases).The postoperative knee joint varus angle and joint function were com-pared between the two groups.Results:The surgical time and time to get out of bed of the combination group were shorter than those of the single group,and the thickness of the femoral posterior condyle osteotomy was higher than that of the single group(P<0.05);the postoperative knee joint varus angle and osteotomy plate relative posterior ankle line rotation angle were smaller than those in the single group,while the femoral prosthesis rotation angle was greater than that in the single group(P<0.05);the knee society score(KSS)and knee joint range of motion(ROM)in the combination group were higher than those in the single group one month after surgery(P<0.05).Conclusion:The measuring osteotomy combined with space balance osteotomy technique can obtain better knee varus angle and promote the early recovery of knee function after total knee arthroplasty.

measuring osteotomyspace balance osteotomytotal knee arthroplastyinverted anglejoint function

何君源、郑炜宏、唐剑邦

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广州中医药大学附属中山中医院(广东中山,528400)

测量截骨 间隙平衡截骨 全膝关节置换术 内翻角 关节功能

中山市社会公益科技研究项目

2019B1003

2024

中国中医骨伤科杂志
中华中医药学会,湖北省中医药研究院

中国中医骨伤科杂志

CSTPCD
影响因子:0.732
ISSN:1005-0205
年,卷(期):2024.32(8)